Social problem-solving skills in children with traumatic brain injury: Long-term outcomes and prediction of social competence
Social problem-solving skills in children with traumatic brain injury: Long-term outcomes and prediction of social competence
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DOI：
10.1076/chin.8.3.179.13499
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发表时间：
2002-09-01
影响因子：
2.2
通讯作者：
Taylor, HG
中科院分区：
文献类型：
--
作者：
Janusz, JA;Kirkwood, MW;Taylor, HG
在35名重度创伤性脑损伤（TBI）儿童、40名中度创伤性脑损伤儿童和46名骨科损伤儿童中，研究了儿童创伤性脑损伤（TBI）对社会问题解决能力的影响（01）。这些儿童是在6至12岁之间受伤后前瞻性招募的。他们被纵向跟踪，在目前的研究中，年龄从9岁到18岁不等，平均发生在受伤后4年。他们进行了半结构化的访谈，在以前的研究中使用的社会问题解决，以评估他们的发展水平的反应，假设的困境，涉及社会冲突。在严重的TBI组的儿童，定义的社会困境，并产生替代策略，以解决这些困境在同一发展水平的OI组的儿童。然而，他们阐明了较低层次的策略是解决困境的最佳方式，并使用较低层次的推理来评估策略的有效性：在控制了群体成员，种族，社会经济地位，智商和年龄后，儿童的社会问题解决能力;特别是他们解决冲突的首选策略的发展水平，预测了父母对孩子社交技能、同伴关系，攻击性行为和学习成绩研究结果表明，患有严重TBI的儿童在解决社会问题的技能方面表现出选择性的长期缺陷，这可能有助于解释他们糟糕的社会和学术成果。
The effects of childhood traumatic brain injury (TBI) on social problem-solving were examined in 35 children with severe TBI, 40 children with moderate TBI, and 46 children with orthopedic injuries (01). The children were recruited prospectively following injuries that occurred between 6 and 12 years of age. They were followed longitudinally, and ranged from 9 to 18 years of age at the time of the current study, which occurred on average 4 years post injury. They were administered a semi-structured interview used in previous research on social problem-solving to assess the developmental level of their responses to hypothetical dilemmas involving social conflict. Children in the severe TBI group,defined the social dilemmas and generated alternative strategies to solve those dilemmas at the same developmental level as did children in the OI group. However, they articulated lower-level strategies as the best way to solve the dilemmas and used lower-level reasoning to evaluate the effectiveness of the strategies: After controlling for group membership, race, socioeconomic status, IQ, and age, children's social problem-solving; and particularly the developmental level of their preferred strategies for resolving conflicts, predicted parents ratings of children's social skills, peer relationships, aggressive behavior, and academic performance. The findings indicate that children with severe TBI demonstrate selective, long-term deficits in their social problem-solving skills that may help to account for their poor social and academic outcomes.